Individual Healthcare Provider
Kassandra Mcmillan
Provider's NPPES record last updated: October 5, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1043860117
- Primary Specialty
- Counselor — Professional
- Practice Location
- Elgin, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:01 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800XCase Manager/Care Coordinator
Other Service Providers
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Taxonomy code 171M00000XRehabilitation Practitioner
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Taxonomy code 225400000X
Provider-Reported License Information
- Counselor (Illinois)
- 178016162
- Case Manager/Care Coordinator (Illinois)
- 178016162
Practice Locations
Practice Location
1845 Grandstand Pl
Elgin, Illinois 60123-6603
Phone: (847) 695-0484
Additional Practice Location
2025 Washington St
Waukegan, Illinois 60085-5131
Phone: (847) 360-1065
Additional Practice Location
12 Health Services Dr
Dekalb, Illinois 60115-9637
Phone: (815) 756-4875
Record Information
- Enumeration Date
- September 19, 2019
- Provider's NPPES Record Last Updated
- October 5, 2020
- Certification Date
- September 28, 2020
- NPISignal NPPES Dataset
- August 2026
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